CN101756741B - Endoscopic surgical clip applier - Google Patents
Endoscopic surgical clip applier Download PDFInfo
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- CN101756741B CN101756741B CN2009101716145A CN200910171614A CN101756741B CN 101756741 B CN101756741 B CN 101756741B CN 2009101716145 A CN2009101716145 A CN 2009101716145A CN 200910171614 A CN200910171614 A CN 200910171614A CN 101756741 B CN101756741 B CN 101756741B
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- clip
- push rod
- shaft assembly
- jaw
- connecting plate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/083—Clips, e.g. resilient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
- A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
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- A—HUMAN NECESSITIES
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- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1222—Packages or dispensers therefor
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- A61B2017/2932—Transmission of forces to jaw members
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2943—Toothed members, e.g. rack and pinion
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0803—Counting the number of times an instrument is used
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- A—HUMAN NECESSITIES
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
Abstract
An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
Description
Quoting of related application
It is rights and interests and the priority of 61/092,786 U.S. Provisional Application that the application requires in the serial number that on August 29th, 2008 submitted to, and the full content of this provisional application is incorporated herein by reference.
Technical field
The disclosure relates to operation applicator, especially relates to a kind of novel endoscope operation applicator.
Background technology
Endoscopic staplers is known in the art with applicator and is used for many different and useful operative procedure.Under the situation of laparoscopic surgical procedure, by inserting the passage that the narrow pipe that enters otch for a short time in the skin or sleeve pipe acquire abdominal part inside.And Wicresoft's program that carry out at other position on health is generally known as endoscopic procedure usually.Typically, pipe or casing bit stretch in the patient's body by entering otch, in order to provide access.This kind entrance allows the surgeon to utilize the trocar to insert a plurality of different operating theater instruments and is used for carrying out operative procedure in the place away from otch.
In most these programs, the surgeon often must stop blood or another kind of liquid flowing by one or more vascular.In program, the surgeon is applied on blood vessel or the another kind of conduit through regular meeting's clip of will performing the operation, and crosses these conduits to prevent body fluid flow.Endoscope's applicator is used for applying single clip when entering body cavity, and this is known in the art.Typically, such single applicator made by biocompatible materials and usually by compress on vascular.In case be applied on the vascular, this has just been stopped liquid flowing by conduit by the clip of compress.
Transfer the 5th of Green people such as (Green) total, 084,057 and 5,100, described endoscope's applicator that can apply a plurality of clips when entering in the body cavity separately in endoscope or laparoscopic procedure in No. 420 United States Patent (USP)s, the full content of above-mentioned two patents is incorporated herein by reference.Disclose another kind of compound endoscope applicator in total the 5th, 607, No. 436 United States Patent (USP)s that transfer Bu Lade people such as (Pratt), the full content of this patent is incorporated herein by reference equally.These devices typically are used in the single operative procedure, but this not necessarily.Be 08/515,341 U.S. Patent application at serial number, namely authorize now in the 5th, 695, No. 502 United States Patent (USP)s to Pi Aier people such as (Pier) and disclose a kind of operation applicator that can sterilize again that the content disclosed in this patent is incorporated herein by reference.This applicator advances and forms a plurality of clips when inserting in the body cavity separately.But the applicator of described repeated disinfection is configured to hold and with tradable cartridge clip cooperation, in order to when entering body cavity separately, advance and form a plurality of clips.An important design object is that the clip of will performing the operation under the situation of clip from load module not being carried out any compression is contained between the jaw.These of clip in loading process are crooked or reverse and often have many beyond thought consequences.This compression when loading may slightly change the aligning of clip between jaw.This can make the surgeon with clip from removing between the jaw in order to abandon clip.In addition, this pre-load compression slightly compression clip some part and change its how much.This can make the surgeon with clip from removing between the jaw in order to abandon clip.
Carry out endoscope or laparoscopic procedure through being everlasting away from the place of otch.Therefore, for the user who is positioned at the device near-end, the reducing of the visual field or tactile feedback may make applying of clip complicated.Therefore wish to improve by the indication of the indication that provides single clip to be launched to the user, the loss that is included in the clip in the load units or any other surgical event the operation of apparatus.It would also be desirable to provide a kind of like this operation applicator: the jaw that it has promoted the successful load of clip and has separated this operation applicator, then clip is contained between the jaw to prevent any damage or the excess compression of clip, and prevents that before emission jaw is pressed on the clip.
Summary of the invention
The disclosure relates to novel endoscope operation applicator.
According to a scheme of the present disclosure, provide a kind of and be applied to device in the soma for the clip of will performing the operation.This device comprises: Handleset; Shaft assembly, it distad extends from Handleset, and defines the longitudinal axis; Be arranged in a plurality of operation clips in the shaft assembly; Jaw, the distal portion of its adjacent shafts assembly is installed, and this jaw can be mobile between the open mode that separates and approaching closure state; And push rod, it can be arranged in the shaft assembly with moving back and forth, and this push rod clip that is configured to when jaw is in open mode farthest side performed the operation is packed in the jaw, and keeps in touch with the clip that is loaded into during the approaching of jaw the time.
Push rod can comprise the pusher that is formed on its far-end.Pusher can have the operation stitching nail of narrow profile to be loaded in the contact of single position.Pusher can limit the plane cardinal principle plane orthogonal with the operation stitching nail that is loaded into.
Described device can further comprise the connecting plate that can be arranged in the shaft assembly with moving back and forth.Connecting plate can be connected on the push rod.In use, during moved in the initial distally of connecting plate, push rod can advance towards the distally, and during moved in the further distally of connecting plate, connecting plate can be thrown off from push rod.
Push rod can comprise support first spring clip thereon, and this first spring clip is used for being in when advancing the position optionally part bonding with shaft assembly at push rod, optionally push rod is remained on this propelling position.Push rod can further comprise support second spring clip thereon, and second spring clip is used for optionally first part bonding with connecting plate.After moved in the initial distally of connecting plate, first parts of connecting plate can optionally break away from from second spring clip.
Described device can further comprise the pushing plate that can be arranged in the shaft assembly with moving back and forth.Pushing plate can comprise at least one fin that can optionally be engaged by the shoulder of push rod.In use, during the distally of push rod and nearside moved, the shoulder of push rod can engage with at least one fin of pushing plate, in moving with the distally of realizing pushing plate and nearside one.
Described device can further comprise the clip follower that is supported on slidably in the shaft assembly, and the clip follower is used for distal direction and promotes a plurality of operation clips.The clip follower comprises from outstanding first projection of its first surface and from the second outstanding projection of its second surface.In use, along with pushing plate is distad mobile, first projection of clip follower can engage with pushing plate, thereby make this clip follower distad mobile to advance a plurality of operation clips, and wherein, along with the pushing plate proximad moves, second projection of clip follower can engage with fixed part, thereby makes the clip follower keep fixing.
Described device can further comprise the clip carrier that is arranged in the shaft assembly, wherein, this clip carrier is configured to keep a plurality of operation clips and clip follower, and wherein, second projection of clip follower can with the part bonding that is formed in the clip carrier.
Can progressively advance the clip follower to pass through shaft assembly.The clip follower can comprise the window catch (catch) that stretches out from its surface, and wherein, after in the end an operation clip was launched, this window catch can engage with push rod and can prevent that the throw-out lever proximal direction moves.
Described device can further comprise the ratchet assembly that is arranged in the Handleset.When push rod does not turn back to proximal position, can prevent that this ratchet assembly from resetting.
Described device can further comprise the enumerator that is supported in the housing unit.After the operation clip had been launched, this enumerator can provide indication.
Described device can further comprise the indicator that is supported in the housing unit.When at least one operation clip was loaded in the jaw, the operation clip is launched and described device is reset, indicator can provide at least one in audition and the sense of touch indication.
Described device can further comprise the clapboard that can be arranged in the shaft assembly with moving back and forth.Clapboard can be not mobile between the position in described jaw at position and its far-end that its far-end is arranged in the jaw.Clapboard can comprise further that support is used for optionally the 3rd spring clip with second part bonding of connecting plate thereon, and wherein, after moved in the initial distally of connecting plate, second parts of connecting plate optionally broke away from from the 3rd spring clip.
Described device can further comprise the drive rod that is activated and be connected to connecting plate by Handleset, and drive rod is used for realizing the movement of connecting plate.Described device can further comprise the driving passage that can be arranged in the shaft assembly with moving back and forth, wherein, drive rod optionally with drive channel engagement to realize the translation of this driving passage.When driving passage and distad advance, its far-end can with the surface engagement of jaw, to realize approaching of jaw.
So that the clapboard proximad moves the near-end of clapboard is return thereby drive passage actuatable clapboard releasing device when it distad advances from jaw, and allowed to drive passage near jaw.
Shaft assembly can be with respect to Handleset around longitudinal axis rotation.Shaft assembly can comprise support protector within it.Wherein, this protector can prevent that the 3rd spring clip from outwards opening during by this protector in the 3rd spring clip translation.
Clapboard and/or driving passage can be biased to proximal position.
According to another scheme of the present disclosure, provide a kind of and be applied to device in the soma for the clip of will performing the operation.This device comprises: Handleset; Shaft assembly, it distad extends from Handleset, and defines the longitudinal axis; Be arranged in a plurality of operation clips in the shaft assembly; Jaw, the distal portion of its adjacent shafts assembly is installed, and this jaw can be mobile between the open mode that separates and approaching closure state; And the clip follower, it is supported in the shaft assembly slidably, is used for distad promoting a plurality of operation clips.This clip follower comprises from outstanding first projection of its first surface and from the second outstanding projection of its second surface.Along with pushing plate distad advances, first projection of clip follower engages with pushing plate, thereby make this clip follower distad mobile to advance a plurality of operation clips, and, along with the pushing plate proximad moves, second projection of clip follower engages with fixed part, thereby makes the clip follower keep fixing.
Described device can further comprise the pushing plate that can be arranged in the shaft assembly with moving back and forth.Pushing plate can limit a plurality of windows that form along its length.In use, along with pushing plate moves back and forth, first projection of clip follower can with a plurality of windows in a window optionally engage.
Described device can further comprise the push rod that can be arranged in the shaft assembly with moving back and forth.This push rod clip that is configured to can be when jaw is in open mode farthest side be performed the operation is packed in the jaw, and keeps in touch with the operation clip that is loaded into during the approaching of jaw.
Pushing plate can comprise at least one fin that can optionally engage with the shoulder of push rod.During the distally of push rod and nearside moved, the shoulder of push rod can engage with at least one fin of pushing plate, in moving with the distally of realizing pushing plate and nearside one.
Push rod can comprise the pusher that is formed on its far-end, and wherein, pusher has the operation stitching nail of narrow profile to pack in the contact of single position.Pusher can limit the plane cardinal principle plane orthogonal with the operation stitching nail that is loaded into.
Described device can further comprise the connecting plate that can be arranged in the shaft assembly with moving back and forth.Connecting plate can optionally be connected on the push rod.In use, during moved in the initial distally of connecting plate, push rod can distad advance, and during moved in the further distally of connecting plate, this connecting plate can be thrown off from push rod.
Push rod can comprise support first spring clip thereon, and this first spring clip is used for being detachably connected to the parts of shaft assembly when push rod is in the propelling position, thereby push rod is remained on this propelling position.Push rod can further comprise support second spring clip thereon, and second spring clip is used for being detachably connected to first parts of connecting plate, and wherein, after moved in the initial distally of connecting plate, first parts of connecting plate were thrown off from second spring clip.
Described device can further comprise the clip carrier that is arranged in the shaft assembly.The clip carrier can be configured to keep a plurality of operation clips and clip follower.Second projection of clip follower can with the part bonding that is formed in the clip carrier.Can progressively advance the clip follower to pass through shaft assembly.The clip follower can comprise the window catch that stretches out from its surface.After in the end an operation clip was launched, window catch can engage with push rod, and can prevent that the throw-out lever proximal direction moves.
Described device can further comprise and is arranged in ratchet assembly in the Handleset.When push rod does not turn back to proximal position, can prevent that this ratchet assembly from resetting.
Described device can further comprise the enumerator that is supported in the housing unit, and wherein, after the operation clip had been loaded into or has launched, this enumerator can provide indication.Described device can further comprise the indicator that is supported in the housing unit, and wherein, when at least one operation clip was loaded in the jaw, the operation clip is launched and described device is reset, this indicator can provide at least one in audition and the sense of touch indication.
Described device can further comprise the clapboard that can be arranged in the shaft assembly with moving back and forth.Clapboard can be not mobile between the position in described jaw at position and its far-end that its far-end is arranged in the jaw.This jaw can comprise further that support is used for the 3rd spring clip that optionally engages with second parts of connecting plate thereon, and wherein, after moved in the initial distally of connecting plate, second parts of connecting plate can optionally break away from from the 3rd spring clip.
Described device can further comprise drive rod, and drive rod is activated and be connected to the movement that is used for realizing connecting plate on the connecting plate by Handleset.Described device can further comprise the driving passage that can be arranged in the shaft assembly with moving back and forth, wherein, drive rod can with the translation that engages to realize this driving passage with driving channel selecting, and wherein, when driving passage and distad advance, its far-end can with the surface engagement of jaw to realize approaching of jaw.So that the clapboard proximad moves the far-end of clapboard is return thereby drive passage actuatable clapboard lock when it distad advances from jaw, and can be allowed to drive passage near jaw.
Shaft assembly can be with respect to Handleset around longitudinal axis rotation.Shaft assembly can comprise support cuff (cuff) within it, and wherein, this cuff can prevent that when the 3rd spring clip translation strides across this cuff the 3rd spring clip from outwards opening.
Clapboard and/or driving passage can be biased to proximal position.
According to another scheme of the present disclosure, provide a kind of and be applied to device in the soma for the clip of will performing the operation, wherein, described device comprises Handleset and the shaft assembly that distad extends and define the longitudinal axis from this Handleset.Handleset comprises trigger and drive rod, and this drive rod can pass through the reciprocal translation of trigger when trigger-acted.Shaft assembly comprises: housing; Be arranged in a plurality of operation clips in the housing; Jaw, distal portion of its contiguous housing is installed, and this jaw can be mobile between the open mode that separates and approaching closure state; Can be arranged in the push rod in the housing, this push rod clip that is configured to when jaw is in open mode farthest side performed the operation is packed in the jaw with moving back and forth, and keeps in touch with the operation clip that is loaded into during the approaching of jaw; Contiguous push rod can be arranged in the pushing plate in the housing with moving back and forth, pushing plate comprises at least one fin that optionally engages with the shoulder of push rod, wherein, during the distally of push rod and nearside move, the shoulder of push rod engages with at least one fin of pushing plate, in moving with the distally of realizing pushing plate and nearside one; Contiguous pushing plate is arranged in the clip carrier in the housing, and wherein, this clip carrier is configured to keep a plurality of operation clips; The clip follower, it is supported on the proximal position of the most a plurality of surgical clips in the clip carrier slidably, this clip follower is configured to distal direction and promotes a plurality of operation clips, this clip follower comprises from outstanding first projection of its first surface and from the second outstanding projection of its second surface, wherein, along with pushing plate is distad mobile, first projection of clip follower engages with pushing plate, thereby make this clip follower distad mobile to advance a plurality of operation clips, and wherein, along with the pushing plate proximad moves, second projection of clip follower engages with the clip carrier, thereby makes the clip follower keep fixing; Contiguous clip carrier can be arranged in the driving passage in the housing with moving back and forth, wherein, drive rod and the translation that engages to realize this driving passage with driving channel selecting, wherein, when the driving passage distad advanced, the surface engagement of its far-end and jaw was to realize approaching of jaw; And the contiguous passage that drives can be arranged in clapboard in the housing with moving back and forth, and this clapboard is mobile between the position in described jaw at position and its far-end that its far-end is arranged in the jaw.
Push rod can comprise the pusher that is formed on its far-end.Pusher can have the operation stitching nail of narrow profile to be loaded in the contact of single position.Pusher can limit the plane cardinal principle plane orthogonal with the operation stitching nail that is loaded into.Push rod can comprise support first spring clip thereon, and this first spring clip can be in when advancing the position with the parts of the housing of shaft assembly at push rod and optionally engage, optionally push rod is remained on this propelling position.Push rod can further comprise support second spring clip thereon, second spring clip is used for optionally engaging with first parts of connecting plate, wherein, after moved in the initial distally of connecting plate, first parts of connecting plate optionally broke away from from second spring clip.
Can progressively advance the clip follower to pass through shaft assembly.The clip follower can comprise the window catch that stretches out from its surface.In use, after in the end an operation clip was launched, window catch can engage with push rod, and can prevent that the throw-out lever proximal direction moves.
Handleset can further comprise the ratchet assembly that is arranged in it.In use, when push rod does not turn back to proximal position, can prevent that this ratchet assembly from resetting.Handleset can further comprise the enumerator that is supported in the housing unit, and wherein, after the operation clip had been launched, this enumerator can provide indication.Further, Handleset can comprise support indicator within it.Indicator can provide the audition of indication event and at least one in the sense of touch indication.For example, described event can be that at least one operation clip is loaded in the jaw, the operation clip is launched and described device is reset.
Clapboard can comprise further that support is used for the 3rd spring clip that optionally engages with second parts of connecting plate thereon.In use, after moved in the initial distally of connecting plate, second parts of connecting plate can optionally break away from from the 3rd spring clip.
Shaft assembly can comprise the clapboard lock.In use, can distad advance back actuating clapboard lock so that the clapboard proximad moves the far-end of clapboard to be return from jaw at it thereby drive passage, and allow to drive passage near jaw.
Shaft assembly can be with respect to Handleset around longitudinal axis rotation.Shaft assembly can comprise the cuff that is supported in the housing, and wherein, this cuff prevents that when the 3rd spring clip translation strides across this cuff the 3rd spring clip from outwards opening.
Clapboard and/or driving passage can be biased to proximal position.
Description of drawings
Following detailed description in conjunction with the drawings, this applicator will more fully be familiar with and be become better understood, in the accompanying drawings:
Fig. 1 is the front perspective view according to the operation applicator of an embodiment of the present disclosure;
Fig. 2 is the rear perspective view of applicator shown in Figure 1, illustrates the rotation of its shaft assembly;
Fig. 3 is the front perspective view of far-end of the shaft assembly of applicator illustrated in figures 1 and 2;
Fig. 4 is the vertical view of applicator illustrated in figures 1 and 2;
Fig. 5 is the side elevation view of applicator illustrated in figures 1 and 2;
Fig. 6 is the axonometric chart of the Handleset of Fig. 1 applicator extremely shown in Figure 5, illustrates left half housing by the situation from wherein removing;
Fig. 7 is the axonometric chart of the Handleset of Fig. 1 applicator extremely shown in Figure 5, illustrates right half housing by the situation from wherein removing;
Fig. 8 is that Fig. 1 is to the axonometric chart of the parts decomposition of the Handleset of applicator shown in Figure 5;
Fig. 8 A is Fig. 6 to Handleset shown in Figure 8 at trigger by the axonometric chart under situation about wherein removing;
Fig. 8 B is that Fig. 6 is to the axonometric chart of the feedback means of Handleset shown in Figure 8;
Fig. 9 is that Fig. 1 is to the axonometric chart of the parts decomposition of the shaft assembly of applicator shown in Figure 5;
Figure 10 is the right side front perspective view of shaft assembly shown in Figure 9, shows the situation of assembling;
Figure 11 is that the details that shows among Figure 10 is represented regional zoomed-in view;
Figure 12 is the right side front view of Fig. 9 shaft assembly extremely shown in Figure 11, shows upper shell by the situation from wherein removing;
Figure 13 is that the details that shows among Figure 12 is represented regional zoomed-in view;
Figure 14 is that the details that shows among Figure 12 is represented regional zoomed-in view;
Figure 15 is that the details that shows among Figure 12 is represented regional zoomed-in view;
Figure 16 is the axonometric chart that the parts of the near-end of push rod of the shaft assembly shown in Fig. 9 to 15 and spring clip (snap clip) decompose;
Figure 17 is Fig. 9 to the upward view of shaft assembly shown in Figure 15, illustrates the near-end of push rod and is arranged in spring clip in the upper shell;
Figure 18 is the right side front perspective view of Fig. 9 shaft assembly extremely shown in Figure 17, shows upper shell and push rod by the situation from wherein removing;
Figure 19 is that the details that shows among Figure 18 is represented regional zoomed-in view;
Figure 20 is that the details that shows among Figure 18 is represented regional zoomed-in view;
Figure 21 is the right side front perspective view of Fig. 9 shaft assembly extremely shown in Figure 20, shows upper shell, push rod and pushing plate by the situation from wherein removing;
Figure 22 is that the details that shows among Figure 21 is represented regional zoomed-in view;
Figure 23 is the axonometric chart that the parts of clip follower and latch plate decompose;
Figure 23 A is the top perspective view after clip follower shown in Figure 23 and latch plate assembling finish;
Figure 24 is the face upwarding stereogram of clip follower shown in Figure 23;
Figure 25 is the right side front perspective view of the far-end of Fig. 9 shaft assembly extremely shown in Figure 23, shows upper shell, push rod, pushing plate and clip carrier by the situation from wherein removing;
Figure 26 is the right side front perspective view of the far-end of shaft assembly shown in Figure 25, shows upper shell, push rod, pushing plate, clip carrier and drives passage by the situation from wherein removing;
Figure 27 is the left side front perspective view of Fig. 9 shaft assembly extremely shown in Figure 26, shows upper shell, push rod, pushing plate, clip carrier, driving passage and clapboard by the situation from wherein removing;
Figure 28 is that the details that shows among Figure 27 is represented regional zoomed-in view;
Figure 29 is that the details that shows among Figure 27 is represented regional zoomed-in view;
Figure 30 is the left side front perspective view of the lower house of the shaft assembly shown in Fig. 9 to 29;
Figure 31 is that the details that shows among Figure 30 is represented regional zoomed-in view;
Figure 31 A is that the details that shows among Figure 30 is represented regional zoomed-in view;
Figure 32 is the longitdinal cross-section diagram of the applicator shown in Fig. 1 to 31A, illustrates the applicator that is under the actuating state not;
Figure 33 is that the details that shows among Figure 32 is represented regional zoomed-in view;
Figure 34 is the longitdinal cross-section diagram of far-end of the shaft assembly of the applicator shown in Fig. 1 to Figure 31 A;
Figure 35 is the sectional view along the intercepting of the 35-35 among Figure 34;
Figure 36 is that the details that shows among Figure 34 is represented regional zoomed-in view;
Figure 37 is the sectional view along the intercepting of the 37-37 among Figure 36;
Figure 38 is that the details that shows among Figure 34 is represented regional zoomed-in view;
Figure 39 is the sectional view along the intercepting of the 39-39 among Figure 38;
Figure 40 is that the details that shows among Figure 34 is represented regional zoomed-in view;
Figure 41 is the sectional view along the intercepting of the 41-41 among Figure 40;
Figure 42 is that the details that shows among Figure 34 is represented regional zoomed-in view;
Figure 43 is the sectional view along the intercepting of the 43-43 line among Figure 42;
Figure 44 is the longitdinal cross-section diagram of the applicator shown in Fig. 1 to 43 during initial activation;
Figure 45 is that the details that shows among Figure 44 is represented regional zoomed-in view;
Figure 46 is that the details that shows among Figure 34 is represented regional 36 the zoomed-in view during the initial activation of applicator;
Figure 47 is that the details that shows among Figure 34 is represented regional 40 the zoomed-in view during the initial activation of applicator;
Figure 47 A is the vertical view of push rod, illustrates the movement of push rod during the initial activation of applicator;
Figure 47 B and Figure 47 C all are longitdinal cross-section diagrams of shaft assembly, illustrate the movement of clapboard during the initial activation of applicator;
Figure 48 and Figure 49 be during the initial driving of applicator shaft assembly along the zoomed-in view in the cross section of 41-41 intercepting among Figure 40;
Figure 50 is that the details that shows among Figure 34 during the initial activation of applicator is represented regional 42 zoomed-in view;
Figure 51 is the left side face upwarding stereogram of the far-end of shaft assembly during the initial activation of applicator;
Figure 52 to Figure 54 all is longitdinal cross-section diagrams of shaft assembly, illustrate being moved further of during the initial activation of applicator clapboard, and the bar of connecting plate is from the disengaging of the spring clip of clapboard;
Figure 55 is the longitdinal cross-section diagram of the applicator shown in Fig. 1 to Figure 54, illustrates the applicator between further period of energization;
Figure 56 is that the details that shows among Figure 55 is represented regional zoomed-in view;
Figure 56 A is the right parallax stereogram of removing the shaft assembly of upper shell, illustrates the movement of push rod between the further period of energization of applicator;
Figure 56 B and Figure 56 C all are upward views of pushing plate, illustrate the movement of pushing plate between the further period of energization of applicator;
Figure 57 is that the details that shows among Figure 34 between the further period of energization of applicator is represented regional 36 zoomed-in view;
Figure 58 is the zoomed-in view that the details that shows among Figure 34 between the further period of energization of applicator is represented regional 40 applicators;
Figure 59 and Figure 60 are the longitdinal cross-section diagrams of shaft assembly, illustrate being connected of the boss that moves and be supported on clip and upper shell on the push rod of between the further period of energization of applicator push rod;
Figure 61 is that the details that shows among Figure 34 between the further period of energization of applicator is represented regional 40 zoomed-in view;
Figure 62 is that the details that shows among Figure 34 between the further period of energization of applicator is represented regional 42 zoomed-in view;
Figure 63 is the longitdinal cross-section diagram of shaft assembly, illustrates the movement of drive rod between the further period of energization of applicator;
Figure 64 and Figure 65 be between the further period of energization of applicator shaft assembly along the zoomed-in view in the cross section of 41-41 intercepting among Figure 40;
Figure 66 be shaft assembly between the further period of energization of applicator far-end overlook the left side axonometric chart;
Figure 67 to Figure 69 is the longitdinal cross-section diagram of shaft assembly, illustrates the movement of connecting plate between the further period of energization of applicator;
Figure 67 A to Figure 69 A is the longitdinal cross-section diagram according to the shaft assembly of another optional embodiment of the present disclosure, illustrates the movement of connecting plate between the further period of energization of applicator;
Figure 70 is the longitdinal cross-section diagram of the applicator shown in Fig. 1 to Figure 69 between last period of energization;
Figure 71 is that the details that shows among Figure 70 is represented regional zoomed-in view;
Figure 72 is that the details that shows among Figure 34 between the last period of energization of applicator is represented regional 42 zoomed-in view;
Figure 73 and Figure 74 are the front perspective view of the far-end of shaft assembly, illustrate the actuating of jaw between the last period of energization of applicator;
Figure 75 is the axonometric chart that illustrates the operation clip that is applied on the vascular;
Figure 76 is that the details that shows among Figure 70 when the trigger of applicator is released is represented regional 71 zoomed-in view;
Figure 76 A is the side elevation view of Handleset when trigger unclamps after it activates fully;
Figure 77 is the longitdinal cross-section diagram of shaft assembly, illustrates the movement of connecting plate during trigger unclamps;
Figure 78 is the longitdinal cross-section diagram of shaft assembly, and what illustrate during the unclamping of trigger push rod moves and be supported on clip on the push rod from the disengagement of the boss of upper shell;
Figure 79 is the right parallax stereogram of removing the shaft assembly of upper shell, illustrates the movement of push rod during the unclamping of trigger;
Figure 80 is that the details that shows among Figure 34 during trigger unclamps is represented regional 40 zoomed-in view;
Figure 81 is the longitdinal cross-section diagram of shaft assembly, and the bar that illustrates connecting plate during trigger unclamps is connected on the spring clip of push rod again;
Figure 82 to Figure 83 all is longitdinal cross-section diagrams of shaft assembly, illustrate during trigger unclamps clapboard be moved further and the spring clip of the bar of connecting plate and clapboard on engage again;
Figure 84 is the front perspective view of the far-end of shaft assembly when applicator is in blocking;
Figure 85 is that the details that Figure 34 shows when applicator is in blocking is represented regional 42 zoomed-in view; And
Figure 86 is that the details that Figure 70 shows when applicator is in blocking is represented regional 71 zoomed-in view.
The specific embodiment
Now describe the embodiment according to operation applicator of the present disclosure with reference to the accompanying drawings in detail, similar Reference numeral is represented similar or identical parts in the accompanying drawing.It is described in the whole text to reach following description as shown in the figure, according to tradition, and during relative position on relating to operating theater instruments, the close user's of term " nearside " finger device a end, the end away from the user of term " distally " finger device.
Referring now to Fig. 1 to Fig. 5, refer to 100 generally according to the operation applicator of an embodiment of the present disclosure.Applicator 100 comprises Handleset 102 and endoscopic portion, and this endoscopic portion comprises the shaft assembly 104 that distad extends from Handleset 102.
To shown in Figure 5, operation applicator 100 comprises the far-end that is installed in shaft assembly 104 and a pair of jaw 106 that can be activated by the trigger 108 of Handleset 102 as Fig. 1.A pair of jaw 106 is made by suitable biocompatible material such as rustless steel or titanium, and this a pair of jaw defines between it clip " C " that is used for performing the operation and is contained in wherein path 10 6a.Relative to each other open or during non-approaching state, record the width of a pair of jaw 106 greater than the external diameter of shaft assembly 104 when a pair of jaw 106 is in.
A pair of jaw 106 is installed on the far-end of shaft assembly 104 so that their relative this places are vertically fixing.Knob 110 can be rotatably installed in the far-end of Handleset 102, and is connected in shaft assembly 104 with to 106 transmission of shaft assembly 104 and a pair of jaw and/or 360 ° of rotations (referring to Fig. 2) around its longitudinal axis are provided.
Referring now to Fig. 1 to Fig. 8, show the Handleset 102 of operation applicator 100.Handleset 102 comprises housing 103, and this housing has first or right side half 103a of and second or left side half 103b of.Handleset 102 comprises the trigger 108 that is supported on pivotly between right side half 103a of and left side half 103b of.As will be discussed in more detail, Handleset 102 defines the window 103c that is used for supporting and showing counting mechanism that is formed in the housing 103.The housing 103 of Handleset 102 can be made by suitable plastic.
Drive rod 140 is connected in plunger 135(referring to Fig. 9 by unitary pin 135b).Be provided with medicated cap 144, plunger 135 runs through this medicated cap.Sealing member (seal) (not shown) is set sets up airtight sealing between plunger 135 and the outer tube 150.
As Fig. 6 to shown in Figure 8, Handleset 102 further comprise be formed in the crankshaft cheek 124/on tooth bar 124a so that tooth bar 124a can move with crankshaft cheek 124.Tooth bar 124a comprises and places distal recesses 124b that crankshaft cheek 124 limits and a plurality of teeth between the proximal flutes 124c.Groove 124b and 124c are set to allow ratchet 224 upsets and between move in nearside and distally, to be promoted on the tooth of tooth bar 124a during variation when crankshaft cheek 124.
To shown in Figure 8, crankshaft cheek 124 is connected in forked link 122 pivotly by pin 123 as Fig. 6.Crankshaft cheek 124 defines a series of hook tooth 124a of being formed at wherein with engaging of selecting with ratchet 224.
Shown in Fig. 8, Fig. 8 A and Fig. 8 B, Handleset 102 further comprises audition/tactile feedback member 126, and this feedback means is operatively relevant with trigger 108 in order to therewith rotate and rotate around common axle when trigger 108 activates.Feedback means 126 defines raceway 126a, and raceway 126a defines a plurality of hook tooths or step 126b.Be provided with deflectable arm 127, this deflectable arm comprises the connection of operation or is arranged among the raceway 126a of feedback element 126 and first end that contacts with step 126b and be connected in second end of housing 103.In operation, when actuated triggers 108, arm 127 by and/or move along the raceway 126a that is formed in the feedback means 126.As will be discussed in more detail, along with arm 127 is mobile at the step 126b of feedback means 126, arm 127 bullets pin step 126b, and produce sound/click and/or the appreciable vibration that can hear.
Audition/tactile feedback member 126 comprise enough step 126b in case clip be completely enclosed back in the jaw of operation applicator 100, the clip of packing into formed the back by operation applicator 100 jaws and when operation applicator 100 is reset to original position and prepares launch/to form another clip generation audition/sense of touch indicate.
Shown in Fig. 6, Fig. 7, Fig. 8 and Fig. 8 A, the Handleset 102 of operation applicator 100 further comprises and is supported in the housing 103 and by being limited to the visible counting mechanism 132 of window 103c in the housing 103.Counting mechanism 132 comprises the energy (not shown) of forms such as display 132a, processor 132b and use battery.
Arrange mylar (Mylar) or another polymerization insulant between the contact of battery or the energy and processor 132b, this material prevents that battery or the energy are depleted in storing process.Projection stretches out to allow projection to be easy to remove therefrom from the housing 103 of operation applicator 100.In case projection is removed, the contact of battery or the energy and processor 132b electrically contacts, and makes display 132a energising.
Shown in Fig. 6, Fig. 7, Fig. 8 and Fig. 8 A, the Handleset 102 of operation applicator 100 further comprises count actuation mechanism, and this mechanism comprises the count actuation lever 130 that has being configured to and be suitable for operatively, optionally engaging the processor 132b of counting mechanism 132.Count actuation lever 130 further comprises the second arm 130b, and this arm is configured to and is suitable for engaging the slit 128a that is formed in the actuation plate 128 operatively, slidably, and actuation plate 128 is supported in the housing 103 slidably.
In operation, will be described in more detail as following, along with trigger 108 is extruded, trigger 108 makes forked link 122 distad advance, and makes crankshaft cheek 124 distad advance.When the arm 124d of crankshaft cheek 124 advances preset distance, the finger 128b of arm 124d joint or contact activated plate 128.Along with crankshaft cheek 124 further distad advances, crankshaft cheek 124 distal direction promote or pulling trigger board 128, thereby activate count actuation lever 130 to activate counting mechanism 132.
Especially, when actuation plate 128 distad mobile enough apart from the time, in its slit 128b with the second arm 130b of cam driven count actuation lever 130 and make 130 rotations of count actuation lever cause the first arm 130a to rotate.When actuation plate 128 proximads move enough apart from the time, the second arm 130b reposition of count actuation lever 130 causes the first arm 130a of count actuation lever 130 to break away from counting mechanism 132.
Now go to Fig. 9 to Figure 31 A, the shaft assembly 104 of operation applicator 100 is illustrated and is described hereinafter.Shaft assembly 104 and assembly thereof can be made by suitable biocompatible material such as rustless steel, titanium, plastics etc.Shaft assembly 104 comprises outer tube 150, and outer tube 150 has and is supported on near-end 150a, the far-end 150b in the housing 103 and runs through wherein inner chamber 150c.Outer tube 150 is by being fixed in the housing 103 from the outstanding flange of its outer surface.Shaft assembly 104 further comprises upper shell 152a and the lower house 152b in the inner chamber 150c that is arranged in outer tube 150.Rear portion upper shell 154 is arranged in the outer tube 150 and the nearside of upper shell 152a.
As Fig. 9, Figure 12 and shown in Figure 13, shaft assembly 104 further comprises the push rod 156 that is arranged in slidably in upper shell 152a and the rear portion upper shell 154.Push rod 156 comprises the far-end 156a that defines narrow shape pusher 156c, pusher 156c is configured to and be suitable for optionally engaging/moves the clamp " C1 " of the farthest side of (namely distad advancing) a pile clip " C ", and keeps in touch with the clamp " C1 " of farthest side during its initial formation.Push rod 156 further comprises near-end 156b.Push rod 156 defines distal window 156d with window catch 156e, be positioned at the nearside of distal window 156d and be formed on its every lateral edges a pair of groove 156f, be positioned at side groove 156f nearside elongated slot 156g and be positioned at the nearest side window mouth 156h of the nearside of slit 156g.
As Fig. 9 and shown in Figure 14, the upper surface along push rod 156 supports the first spring clip 157a to push rod 156 at the distal position place of side groove 156f.The first spring clip 157a disposes by this way: its tip is outstanding or a certain amount of at interval with the upper surface of push rod 156.
As Fig. 9 and shown in Figure 15, the lower surface along push rod 156 supports the second spring clip 157b to push rod 156 at the proximal position place of its nearest side window mouth 156h.The second spring clip 157b locatees by this way: its tip is outstanding to be enough to be pressed in amount on the nearest side window mouth 156h of push rod 156.The tip of the second spring clip 157b is spaced a certain amount of, and this amount is less than the width of the nearest side window mouth 156h of push rod 156.
Extremely shown in Figure 20 as Fig. 9 and Figure 16, shaft assembly 104 further comprises the pushing plate 162 that can be supported on push rod 156 belows with moving back and forth.As Figure 16 and shown in Figure 17, the 4th spring clip 157d is supported on the near-end of pushing plate 162.Spring clip 157d comprises a pair of tip, and this tip removably is connected in the nearside that is formed among the upper shell 152a and keeps groove 152m and distally to keep groove 152n.Like this, in use, spring clip 157d removably engages and keeps groove 152m and distally to keep groove 152n so that pushing plate 162 remains on nearside or distal position.When pushing plate 162 distad advances, inwardly drive the tip of spring clip 157d and make that pushing plate 162 continues distad mobile with cam.
To shown in Figure 20, pushing plate 162 comprises a series of window 162a that are formed at wherein and extend along its length as Figure 18.As shown in figure 19, each window 162a defines proximal, and this edge extends in order to limit antelabium or lug 162c in the lower face of pushing plate 162.Pushing plate 162 further comprises a pair of flank sheet 162b, and this flank sheet is extending towards the direction of upper shell 152a from its lateral edges.As shown in figure 15, a pair of flank sheet 162b is arranged among the side groove 156f of push rod 156 slidably.
Extremely shown in Figure 22 as Fig. 9 and Figure 21, shaft assembly 104 further comprises the clip carrier 164 that is arranged among the upper shell 152a and is positioned at pushing plate 162 belows.Clip carrier 164 generally is to have upper wall, pair of sidewalls and restriction by the box like structure of the lower wall of its passage.Clip carrier 164 comprise be formed in the lower wall and along a plurality of window 164a(that separate of its length longitudinal extension referring to Fig. 9).Clip carrier 164 comprises and being formed in the upper wall and along the elongated window of its length longitudinal extension.
As Fig. 9 and shown in Figure 21, a pile operation clip " C " is by so that pack into and/or remain in the passage of clip carrier 164 therein and/or along the mode of its slip.The configuration of the passage of clip carrier 164 also is sized to head the mode of tail is kept a pile or a plurality of operation clip " C " slidably.
As shown in figure 19, the far-end of clip carrier 164 comprises a pair of resilient tangs 164b that separates.Tang 164b be configured to and be suitable for removably engaging the farthest side that remains on these heaps operation clips " C " in the clip carrier 164 perform the operation clip " C1 " after stride portion (backspan).
Extremely shown in Figure 24 as Fig. 9 and Figure 21, the shaft assembly 104 of applicator 100 further comprises the clip follower 166 in the passage that is arranged in clip carrier 164 slidably.To be described in more detail as following, clip follower 166 is positioned at the rear of this heap operation clip " C " and is set to promote forward this heap clip " C " between the period of energization of applicator 100.As will be hereinafter described in more detail, clip follower 166 moves back and forth to activate forward and backward by pushing plate 162.
As Figure 23, Figure 23 A and shown in Figure 24, clip follower 166 comprises main part 166a, substantially from main part 166a upwards and the distally that extends back projection 166b, and substantially from main part 166a and the nearside that extends back projection 166c downwards.
The distally projection 166b of clip follower 166 disposes and is sized to the lug 162c of the window 162a that optionally engages pushing plate 162.In use, along with pushing plate 162 distal direction advance or mobile, the distally projection 166b of clip follower 166 makes clip follower 166 progressively advance or advance towards distal direction towards the joint of the lug 162c of the window 162a of pushing plate 162.
As Fig. 9, Figure 25 and shown in Figure 38, the position that shaft assembly 104 further is included in clip carrier 164 belows can be supported on the driving passage 168 in the channel components 104 with moving back and forth.Drive passage 168 and be the passage of U-shaped substantially, this passage comprises from striding the 168c of portion thereafter and is leaving clip carrier 164 and the upwardly extending a pair of sidewall 168b that separates towards the side of lower house 152b.Drive passage 168 further be included in slit 168a nearside the position from after stride the 168c of portion outstanding and in the side of sidewall 168b upwardly extending protruding 168d.As shown in figure 41, drive passage 168 and define slit in the sidewall that is formed among the sidewall 168b or window 168e optionally to hold the tooth 194c of clapboard releasing device 194.
As Fig. 9 and shown in Figure 25, the shaft assembly 104 of applicator 100 comprises the driving passage strap 167 that is fixed on the driving passage 168.Strap 167 is fixed to the sidewall 168b that drives passage 168 and goes up so that across the sidewall 168b horizontal expansion that drives passage 168.Strap 167 is fixed at the distal position place of elongated slot 168a and drives on the passage 168.Strap 167 is fixed to and drives on the passage 168 so that clapboard 172 is striden extension between the 168c of portion and the jaw 106 behind driving passage 168.
As Fig. 9, Figure 26 and shown in Figure 27, applicator 100 comprises and is installed on the shaft assembly 104 or is installed in the far-end of shaft assembly 104 and a pair of jaw 106 that can be activated by trigger 108.Jaw 106 is formed by suitable biocompatible materials such as rustless steel or titanium.
By be formed among the lower house 152b be formed at jaw 106 in hold the boss that slit engages, jaw 106 is installed in the contiguous far-end that drives passage 168, so that jaw 106 keeps fixing with respect to driving passage 168.As shown in figure 25, jaw 106 defines between it clip " C " that is used for performing the operation and is contained in wherein path 10 6a.
As Fig. 9, Figure 25 and shown in Figure 26, the shaft assembly 104 of applicator 100 further comprises clapboard 172, and clapboard 172 has the near-end that places the far-end between driving passage 168 and the jaw 106 and run through shaft assembly 104.Clapboard 172 comprises that the far-end 172a of taper substantially is with the optionally insertion of operation between jaw 106.As shown in figure 26, clapboard 172 defines from its lower surface outstanding fin or protruding 172b.As shown in figure 22, clapboard 172 defines the farthest side slit 172c that is formed on wherein and is slidably received within wherein with the second bar 174c with connecting plate 174.
As shown in figure 22, the 3rd spring clip 157c is supported on the proximal end of clapboard 172.The 3rd spring clip 157c locatees by this way: the outstanding amount that is enough to be pressed on the nearest side window mouth 172c that is formed in the clapboard 172 of its tip.The tip of the 3rd spring clip 157c is spaced a certain amount of, and this amount is less than the width of the nearest side window mouth 172c of clapboard 172.
As Fig. 9, Figure 18, Figure 20 and shown in Figure 36, the shaft assembly 104 of applicator 100 further comprises connecting plate 174, and connecting plate 174 places between push rod 156 and the clapboard 172 slidably and removably can be connected in each of push rod 156 and clapboard 172.Connecting plate 174 comprises the first bar 174b of tapered distal end 174a, surface extension from it and the second bar 174c that extends from its lower surface.Among bar 174b, the 174c each all has the profile of tear-drop shaped substantially, and the far-end of each among its king-rod 174b, the 174c is all greater than its near-end.
In operation, the first bar 174b of connecting plate 174 configuration and be sized to be fixed to push rod 156 on second spring clip 157b is dismountable is connected, the second bar 174c configuration of connecting plate 174 and be sized to be fixed to clapboard 172 on the 3rd spring clip 157c is dismountable is connected.
As Figure 22, Figure 36 and shown in Figure 37, the second bar 174c of connecting plate 174 extends among the window 140b that is limited to drive rod 140.Like this, along with drive rod 140 moves back and forth, connecting plate 174 is with its reciprocating motion.
Shown in Figure 31 A, protector 198 is supported among the lower house 152b position of the relative distance between the tip of being convenient to keep the 3rd spring clip 157c during its initial distally advances.Like this, the second bar 174b of connecting plate 174 can not break away from the 3rd spring clip 157c prematurely and crossed protector 198 up to the 3rd spring clip 157c.
As Fig. 9, Figure 27, Figure 29 and shown in Figure 41, the shaft assembly 104 of applicator 100 further comprises the slip joint 180 in the passage that is supported on lower house 152b slidably.Slip joint 180 comprises main part 182 and from the bar 184 of its extension.When in the passage that is properly positioned on lower house 152b, the bar 184 of slip joint 180 extends in the direction in cardinal principle distally.The bar 184 of slip joint 180 slidably by the minor axis 152d(that is formed among the lower house 152b and extends from the passage of lower house 152b referring to Figure 29).Shaft assembly 104 further comprises biasing member 186, this biasing element be supported on the bar 184 with the form of compression spring and place the minor axis 152d of lower house 152b and the main part 182 of slip joint 180 between.
The main part 182 of slip joint 180 comprises boss 182a, and this boss forms near the near-end of main part 182, and is configured to and is suitable for slidably engaging (referring to Figure 29) in the elongated slot 140a of drive rod 140.The main part 182 of slip joint 180 further comprises nest eye 182b, and this nest eye forms near the far-end of main part 182, and is configured to and the protruding 168d that is suitable for driving passage 168 is contained in wherein (referring to Figure 38 and Figure 39).
As Fig. 9, Figure 27 and shown in Figure 28, the shaft assembly 104 of applicator 100 further comprises in the passage that is supported on lower house 152b slidably locks 190 with the clapboard that drives in the passage 168.The bar 190b that clapboard lock 190 comprises main part 190a, distad extend from main part 190a, the afterbody 190c that extends from main part 190a proximad, be formed at main part 190a upper surface nest eye 190d and bar or the tooth 190e that extends from afterbody 190c.Shaft assembly 104 further comprises biasing member 192, and this biasing member is supported on bar 190b with the form of compressing spring and goes up and place between the main part 190a of lower house 152b and clapboard lock 190.
The shaft assembly 104 of applicator 100 further comprises the clapboard releasing device 194 in the passage that rotatably is supported on lower house 152b.Clapboard releasing device 194 comprises bar 194a, and the tooth 190e that this bar is configured to extend with the afterbody 190c that locks 190 from clapboard engages; Mallet 194b, this mallet is stretching out from bar 194a on the direction of the afterbody 190c of clapboard lock 190; And tooth 194c, this tooth stretches out from bar 194a on the direction of the afterbody 190c that leaves clapboard lock 190.
Now to operation applicator 100 to form around such as the destination organization of vascular or the operation clip that curls is described.With reference to Figure 32 to Figure 43, be illustrated in any operation or use operation applicator 100 before.As Figure 32 and shown in Figure 33, before using or launching applicator 100, trigger 108 generally is in non-pressure-bearing or non-actuated condition.Like this, the crankshaft cheek 124 of driven unit 120 is in the position of withdrawal or nearside, and therefore, plunger 135 and drive rod 140 also are in retracted position.When crankshaft cheek 124 was in retracted position, ratchet 224 was arranged among the distal recesses 124b that is limited in the crankshaft cheek 124.
To shown in Figure 37, when driven unit 120 and drive rod 140 were in retracted position, connecting plate 174 was positioned at withdrawal or side position recently as Figure 35.When connecting plate 174 is positioned at withdrawal or nearest side position, push rod 156 also is in withdrawal or nearest side position, the first tear-drop shaped bar 174b of connecting plate 174 be arranged in push rod 156 nearest side window mouth 156h near-end and keep and the engaging of the tip snap fit of the second spring clip 157b.And, when connecting plate 174 is positioned at withdrawal or nearest side position, clapboard 172 also is positioned at withdrawal or nearest side position, and the second tear-drop shaped bar 174c of connecting plate 174 is arranged in the near-end of the nearest side window mouth 172c of clapboard 172, and keeps and the engaging of the tip snap fit of the 3rd spring clip 157c.
As Figure 36 and shown in Figure 37, when driven unit 120 and drive rod 140 were in retracted position, the protruding 182a of slip joint 182 was arranged in the farthest side position of the elongated slot 140a of drive rod 140.
As Figure 38 and shown in Figure 39, when driven unit 120 and drive rod 140 are in retracted position, clip follower 166 is positioned at the most proximal end of the passage of clip carrier 164, wherein projection 166b in the distally of clip follower 166 operatively is arranged among the nearest side window mouth 162a of pushing plate 162, and nearside projection 166c operatively is arranged among the nearest side window mouth 164a of clip carrier 164.
Continuation is with reference to Figure 38 and Figure 39, when driven unit 120 and drive rod 140 are in retracted position, slip joint 180 is positioned at nearest side position, and because driving the protruding 168d of passage 168 is arranged among the nest eye 182b of slip joint 180, also is positioned at nearest side position so drive passage 168.As Figure 38 and shown in Figure 39, slip joint 180 near from the outstanding physics backstop 152e(of lower house 152b referring to Figure 30).
As Figure 40 and shown in Figure 41, when driven unit 120 and drive rod 140 were in retracted position, clapboard lock 190 is arranged in nearest side position so that the tooth 190e that extends from its afterbody 190c is arranged in the nearside (referring to Figure 30 and Figure 31) of the inclination lug 152f that is formed at lower house 152b.As shown in figure 41, clapboard lock 190 is near the physics backstop 152g that gives prominence to from lower house 152b.Equally as shown in figure 41, clapboard releasing device 194 is arranged in primary importance and sentences just its tooth 194c and protrude among the window 168e that is formed among the sidewall 168b that drives passage 168.
As Figure 42 and shown in Figure 43, when driven unit 120 and drive rod 140 are in retracted position, the pusher 156c of push rod 156 be arranged in the farthest side clip " C " that remains in the clip carrier 164 after stride the nearside of portion.Farthest side clip " C " remains in the passage of clip carrier 164 by its tang 164b.And as mentioned above, in this position, clapboard 172 is positioned at nearest side position so that its far-end 172a is positioned at the nearside of jaw 106.
As shown in figure 43, when driving passage 168 was positioned at nearest side position, its far-end broke away from from the proximal cam surface 106b of jaw 106.
Now forward Figure 44 to Figure 54 to, in the phase I of initial stroke, along with trigger 108 is extruded or activates from initial position, trigger 108 makes forked link 122 towards distal direction removable crank plate 124, and this will make driving adapter 134 and plunger 135 distad move and make drive rod 140 distad mobile.When along with plunger 135 is distad mobile, spring 136 compressed primary quantities.
Meanwhile, along with crankshaft cheek 124 is distad mobile, the tooth of tooth bar 124a engages with the tooth 224a of ratchet 224, and ratchet 224 shifts out or rotate the distal recesses 124a of crankshaft cheek 124.Like this, under the situation of not finishing complete distally stroke, crankshaft cheek 124 can not be got back to nearest side position.
As shown in figure 44, along with trigger 108 is extruded primary quantity, arm 127 beginning translations are by the raceway 126a of feedback means 126.
As shown in figure 46, along with drive rod 140 moves towards distal direction, drive rod 140 promotes connecting plate 174 towards distal direction.Because push rod 156 optionally is connected in connecting plate 174 by the second spring clip 157b, push rod 156 is advanced or is spurred towards distal direction.And because clapboard 172 optionally is connected in connecting plate 174 by the 3rd spring clip 157c, clapboard 172 is also advanced or is dragged towards distal direction.
Along with drive rod 140 moves towards distal direction, its elongated slot 140a also moves so that the protruding 182a of slip joint 182 translation on respect to its proximal direction towards distal direction.
Extremely shown in Figure 49 as Figure 47, along with clapboard 172 moves towards distal direction, because the protruding 172b of clapboard 172 remains among the nest eye 190d of clapboard lock 190, clapboard lock 190 is moved or is dragged towards distal direction, this makes the tooth 190e of its afterbody 190c be crossed the inclination lug 152f that is formed among the lower house 152b with cam driven, thereby moves to the distal position of inclination lug 152f from the proximal position of inclination lug 152f.Along with clapboard lock 190 moves biasing member 192 compressed primary quantities towards distal direction.As shown in figure 49, clapboard lock 190 moves until clapboard lock 190 near the physics backstop that is formed among the lower house 152b towards distal direction.
Shown in Figure 47 A, along with push rod 156 moves towards distal direction, the fin 162b of pushing plate 162 is the translation preset distance in the side groove 156f of push rod 156, up to fin 162b contact or engage the near-end of the side groove 156f of push rod 156.
Shown in Figure 47 B and Figure 47 C; along with clapboard 172 moves towards distal direction; because the second bar 174c of connecting plate 174 and being connected of the 3rd spring clip 157c have prevented that by protector the second bar 174c of connecting plate 174 breaks away from from the 3rd clamp 157c prematurely.Especially, along with connecting plate 174 moves towards distal direction, the tip of tip that protector 198 acts on the 3rd spring clip 157c to prevent tip because the power that the distally power that the second bar 174c is produced is applied to it and outwards opening.
As shown in figure 50, along with push rod 156 moves towards distal direction, its pusher 156c engage farthest side clip " C " after stride portion and begin and promote farthest side clip " C " towards the distally mode.Along with push rod 156 moves farthest side clip " C " towards distal direction, farthest side clip " C " breaks away from and begins to enter into the path 10 6a of jaw 106 from the rear of the tang 164b of clip carrier 164.
Shown in Figure 51, along with clapboard 172 moves towards distal direction, its far-end 172a enters between the jaw 106, makes jaw 106 outwards open.
Shown in Figure 52 to Figure 54, in case, then having prevented clapboard 172 near the physics backstop that is formed among the lower house 152b, clapboard lock 190 is moved further towards distal direction.Yet drive rod 140 continues to move connecting plate 174 towards distal direction.Because connecting plate 174 is continued distad to promote; so in case the tip of the tip of the 3rd spring clip 157c distad moves to above protector 198; the power on the second bar 174c of then acting on enough makes the tip of the 3rd spring clip 157c outwards open and makes the second bar 174c from throwing off therebetween, thereby makes connecting plate 174 continue to move towards distal direction.
Now forward Figure 55 to Figure 69 to, along with trigger 108 is further pushed or activate second stage by initial stroke from the phase I of initial stroke, trigger 108 makes forked link 122 further towards distal direction removable crank plate 124, and this makes that driving adapter 134 also makes plunger 135 further distad move and further move towards the distally drive rod 140 subsequently.Along with plunger 135 is distad mobile, spring 136 compressed further amounts.
Meanwhile, along with crankshaft cheek 124 moves towards the distally, the tooth of its tooth bar 124a further moves towards nearside with respect to the tooth 224a of ratchet 224.Like this, under the situation of not finishing complete distally stroke, crankshaft cheek 124 still can not turn back to nearest side position.
Shown in Figure 55, along with crankshaft cheek 124 after preset distance is moved in the distally, its arm 124d engages or the finger 128b of contact activated plate 128.Along with crankshaft cheek 124 further advances towards the distally, crankshaft cheek 124 promotes or pulling actuation plate 128 towards distal direction, thereby activates count actuation lever 130 to activate counting mechanism 132.
Especially, when actuation plate 128 move towards the distally enough apart from the time, in its groove 128b, with the second arm 130b of cam driven count actuation lever 130 and impel its rotation, cause the first arm 130a of count actuation lever 130 to engage counting mechanism 132, thereby realize the variation in its display.Especially, the display that shows the number of remaining clip in the operation applicator 100 will reduce one.Selectively, the clip counting mechanism will increase by one or produce some other variation.
When further being pushed along with trigger 108, arm 127 continues translation by the raceway 126a of feedback means 126.In this, in the extruding of trigger 108, the operation clip is loaded in the jaw 106.Correspondingly, arm 127 will with the raceway 126a that is formed at feedback means 126 in step 126b interact and produce and inform that user's clip has been loaded into the audition/sense of touch indication in the jaw.
Shown in Figure 57, along with drive rod 140 is moved further towards distal direction, drive rod 140 continues to promote connecting plate 174 towards distal direction.Because push rod 156 still optionally is connected in machine plate 174 by the second spring clip 157b, so push rod 156 is further advanced or drags towards distal direction.Yet, because the 3rd spring clip 157c of clapboard 172 is broken away from by the second bar 174c from connecting plate 174, so clapboard 172 is not further advanced or drag towards distal direction.
Shown in Figure 56 A to Figure 56 C, along with push rod 156 continues to move towards distal direction, the near-end of the side groove 156f of push rod 156 engages a pair of fin 162b of pushing plate 162, and push rod 156 advances or drag pushing plate 162 towards distal direction.
Shown in Figure 56 B and Figure 56 C, along with slurcam 162 advances towards the distally, spring clip 157d breaks away from nearside and keeps groove 152m and engage the distally that is formed among the upper shell 152a keeping groove 152n.
Shown in Figure 57, drive rod 140 moves towards distal direction, optionally moves to nearest side position among the elongated slot 140a of drive rod 140 up to the protruding 182a of slip joint 182.
Along with push rod 156 continues to move towards distal direction, push rod 156 continues to promote pushing plate 162 towards distal direction by fin 162b.Shown in Figure 58, along with pushing plate 162 moves towards distal direction, the proximal of window 162a that the distally of clip follower 166 projection 166b is received the distally projection 166b of clip follower 166 engages in order to promote clip follower 166 with respect to clip carrier 164 towards distal direction, thereby makes the amount that this stack gripper " C " advances to be increased.Along with clip follower 166 moves towards distal direction, make the relative distal window 164a of its nearside projection 166c from the relative proximal window 164a of clip carrier 164 to clip carrier 164 distad advance a window 164a.
Shown in Figure 58 to Figure 60, along with push rod 156 moves towards distal direction, the first spring clip 157a bullet that is supported on the push rod 156 is locked on the boss 152h of upper shell 152a, thereby push rod 156 is remained on forward position.
In addition, shown in Figure 61, along with push rod 156 continues to move towards distal direction, make this stack gripper " C " move towards distal direction.
Shown in Figure 62, along with push rod 156 moves towards distal direction, its pusher 156c continues to move farthest side clip " C1 " enters into jaw 106 fully up to farthest side clip " C1 " path 10 6a towards distal direction.In operation, the pusher 156c of push rod 156 during the formation of described clip " C " with the clip " C " of packing into after the portion of striding keep in touch in order to stability is provided and holds it in suitable position for it.
Shown in Figure 63, along with drive rod 140 further moves towards distal direction, its shoulder 140c contact drives the most proximal end of passage 168.Like this, along with drive rod 140 further moves towards distal direction, drive rod 140 moves or promotes to drive passage 168 towards distal direction.
Shown in Figure 64, move towards distal direction along with driving passage 168, be formed at the tooth 194c of the proximal contact clapboard releasing device 194 of the window 168e among the sidewall 168b that drives passage 168, make 194 rotations of clapboard releasing device.Along with clapboard releasing device 194 rotation, the tooth 190e of its mallet 194b extruding clapboard lock 190 is to release tooth 190e or knocking-on from the rear of inclination lug 152f.In this case, shown in Figure 65, allow biasing member 192 decompressions, thereby move clapboard lock 190 towards proximal direction.Shown in Figure 66, along with clapboard lock 190 moves towards proximal direction, because clapboard 172 is connected on the clapboard lock 190, so clapboard 172 moves so that its far-end 172a is disengaged from withdrawing from jaw 106 towards proximal direction.
Shown in Figure 58 and Figure 67 to Figure 69, because push rod 156 remains on distal position by the first spring clip 157a with being connected of boss 152h, so along with drive rod 140 further moves towards distal direction, the power that acts on connecting plate 174 makes the second spring clip 157b break away from from the first bar 174b of connecting plate 174, thereby allows connecting plate 174 to continue to move towards distal direction.
Shown in Figure 67 A to Figure 69 A, in one embodiment, the tip of the tip of the second spring clip 157b can be configured to outwards outstanding in order to engage the surface (referring to Fig. 9) of upper back housing 154, thereby prevents that the second spring clip 157b is from the too early disengaging of the first bar 174b of connecting plate 174.In this embodiment, groove can be formed in the surface of rear portion upper shell 154, with the outside open position consistency of tip possibility of the second spring clip 157b, thereby allows first bar 174b disengaging and the continuation of connecting plate 174 to move towards distal direction.
Shown in Figure 70 to Figure 75, activated the final stage that enters initial stroke along with trigger 108, trigger 108 makes forked link 122 further towards distal direction removable crank plate 124, and this makes driving adapter 134 and plunger 135 further move and further move towards the distally drive rod 140 towards the distally.Move spring 136 compressed further amounts along with driving adapter 134 towards the distally.
Meanwhile, along with crankshaft cheek 124 moves towards the distally, the tooth of its tooth bar 124a further moves to such position towards nearside with respect to the tooth 224a of ratchet 224: in this position, enter the proximal flutes 124c of crankshaft cheek 124 along with the tooth 224a of ratchet 224, the tooth of tooth bar 124a breaks away from from the tooth 224a of ratchet 224, itself resets thereby make.Like this, when trigger 108 unclamped, crankshaft cheek 124 can be back to nearest side position.
Shown in Figure 72 to Figure 74, during the final stage of the initial stroke of trigger 108, driving passage 168 and strap 167 moves towards distal direction with respect to jaw 106, so that drive the cam face 106b that the distal side edge of passage 168 engages jaw 106, make jaw 106 close and form therebetween clamp " C1 ".Shown in Figure 74, the pusher 156c of push rod 156 remains on the distal position place, is contacting with the portion of striding behind the described clip " C " during the formation of described clip " C ".
Shown in Figure 55, along with trigger 108 is extruded last amount, arm 127 continues translation by the raceway 126a of feedback means 126.In this, in the extruding of trigger 108, operation clip " C1 " is completed into by jaw 106.Correspondingly, arm 127 will with the raceway 126a that is formed at feedback means 126 in another step 126b interact, and produce and inform that the audition/sense of touch of performing the operation the user clip " C1 " having formed by jaw 106 indicates.
Shown in Figure 75, operation clip " C1 " can form or be crimped onto in vascular " V " or any other biological tissue.
Now forward Figure 76 to Figure 84 to, the operation of the applicator 100 when expression is back to not extruding or unactuated position along with trigger 108.Shown in Figure 76, along with trigger turns back to not extrusion position, spring is allowed to remove compression, thereby throw crank plate 124 moves towards proximal direction, and this makes plunger move and move drive rod towards nearside towards nearside.Because ratchet 224 has resetted, now allow crankshaft cheek 124 proximads to move the distal recesses that enters crankshaft cheek 124 up to the tooth 224a of ratchet 224 again.
Shown in Figure 76 A, along with crankshaft cheek 124 moves towards nearside, its arm 124d breaks away from the finger 128b of actuation plate 128, makes actuation plate 128 move towards proximal direction.Along with actuation plate 128 moves towards nearside, in its groove 128b, with the second arm 130b of cam driven count actuation lever 130, and impel second arm 130b rotation, cause the first arm 130a of count actuation lever 130 to break away from from counting mechanism 132.
Shown in Figure 77, along with drive rod 140 moves towards proximal direction, drive rod 140 is by first bar 174b pulling connecting plate 174.Along with connecting plate 174 moves towards proximal direction, the first bar 174b engages with the tip of the second spring clip 157b and promotes push rod 156 by the second spring clip 157b towards proximal direction.
Shown in Figure 78, along with masterpiece is used on the push rod 156 with towards proximal direction mobile putter 156, described retentivity of making every effort to overcome the boss 152h that has obeyed the first spring clip 157a and upper shell 152a, thus discharge the first spring clip 157a and make push rod 156 move towards proximal direction from boss 152h.
Shown in Figure 79, along with push rod 156 continues to move towards proximal direction, the fin 162b of the distal engagement pushing plate 162 of its side groove 156f also makes pushing plate 162 move towards proximal direction.Along with push rod 156 moves towards proximal direction, push rod nose 156c stings at the rear of the farthest side clip of this remaining heap clip " C ", thereby becomes new farthest side clip " C1 ".
Shown in Figure 80, along with pushing plate 162 moves towards proximal direction, the proximal of the window 164a of the nearside projection 166c engaging clip carrier 164 of clip follower 166 is in order to keep the relative position of clip follower 166 in clip carrier 164.When pushing plate 162 moves towards proximal direction, make the relative distal window 162a of its distally projection 166b from the relative proximal window 162a of pushing plate 162 to pushing plate 162 distad advance a window 162a.
Shown in Figure 81, when push rod 156 stops its nearside and moves, when its when engaging from the outstanding boss of the inner surface of upper half-shell 152a, the lasting nearside of connecting plate 174 moves and will the bar 174b that win be engaged again with the second spring clip 157b.Stop along with the nearside of push rod 156 moves, the nearside that continues of connecting plate 174 moves and will the bar 174b that win be engaged again with the second spring clip 157b.
Shown in Figure 82 and Figure 83, along with connecting plate 174 moves towards proximal direction, because the nearside of drive rod 140 moves, the second bar 174c engages with the tip of the 3rd spring clip 157c and passes through the 3rd spring clip 157c towards proximal direction promotion clapboard 172.Along with clapboard 172 moves towards proximal direction, clapboard lock 190 moves physics backstops in clapboard lock 190 contact housing lower half 152b towards proximal direction, thereby stops the nearside of clapboard 172 to move.In case the tip of the tip of the 3rd spring clip 157c is moved beyond protector 198 towards the distally, then when clapboard 172 stopped its nearside and moves, the nearside that continues of connecting plate 174 moved and will make the second bar 174c engage again with the 3rd spring clip 157c.
When trigger 108 is back to the unactuated position, arm 127 interacts translation by the raceway 126a of feedback means 126 and with another step 126b among the raceway 126a that is formed at feedback means 126, and produces audition/sense of touch indication of informing user's operation applicator 100 and being reset and having prepared to launch again.
Now forward Figure 84 to Figure 85 to, the structure of expression operation applicator 100 is thereafter the application of last operation clip " C ".Shown in Figure 84 and Figure 85, when last operation clip has been pushed into and has formed, push rod 156 still is in and advances or distal position, clip follower 166 is progressively advanced enough amounts by graduated disc 158, its latch plate 165 is passed through the window 162a of pushing plate 162 to upper offset, and enters into the distal window 156d of push rod 156.The location of latch plate 165 in the distal window 156d of push rod 156 makes the window catch 156e of proximal window 156d enter the also window 165b of engage latch plate 165.Like this, because clip follower 166 remains on distal position by its distally projection 166c that engages in the distal window 164a of clip carrier 164, latch plate 165 engages the window catch 156e of push rods 156, thereby and anti-throw-out lever 156 turn back to nearest side position ratchet 224 resetted.
Shown in Figure 86, because push rod 156 can not or be prevented from moving to its complete proximal position, make and itself reset thereby the tooth bar 124a of ratchet 224 and crankshaft cheek 124 keeps engaging and be not allowed to enter proximal flutes 124c.Because can not making, ratchet 224 itself resets, so crankshaft cheek 124 is lockable or distad stops or nearside moves.
Should be appreciated that more than describing only is explanation of the present disclosure.Those skilled in the art can make various replacements and improvement not deviating under the situation of the present disclosure.Correspondingly, the disclosure is intended to comprise all these replacements, improvement and variation.With reference to the described embodiment of accompanying drawing only for proving that some example of the present disclosure occurs.There are not other element, step, method and the technology that are different in essence within the scope of the present disclosure with above-mentioned and/or claims yet.
Claims (37)
1. the clip that is used for performing the operation is applied to the device in the soma, and described device comprises:
Handleset;
Shaft assembly, it comprises the housing that distad extends from described Handleset, and defines the longitudinal axis;
Be arranged in a plurality of operation clips in the described shaft assembly;
Jaw, distal portion of its contiguous described shaft assembly is installed, and described jaw is mobile between open mode at interval and approaching closure state; And
Push rod, it can be arranged in the housing of described shaft assembly with moving back and forth and be detachably connected on the housing of described shaft assembly, the described push rod clip that is configured to when distad moving farthest side performed the operation is packed in the jaw, and during the approaching of described jaw, remain connected to the housing of described shaft assembly and remain on the propelling position in distally, and
Described device further comprises the connecting plate that can be arranged in the described shaft assembly with moving back and forth, wherein, described connecting plate is detachably connected on the described push rod, wherein, during moved in the initial distally of described connecting plate, described push rod distad advanced, and during move in the further distally of described connecting plate, described connecting plate is thrown off from described push rod, and
Wherein, described push rod comprises support first spring clip thereon, described first spring clip is used for being connected to the fixed part of the housing that is arranged on described shaft assembly when described push rod is in the propelling position, described push rod is remained on described propelling position.
2. device according to claim 1, wherein, described push rod comprises the pusher that is formed on its far-end, wherein, described pusher has the operation stitching nail of narrow profile to be loaded in the contact of single position.
3. device according to claim 2, wherein, the plane that described pusher defines the operation stitching nail of orientating as and being loaded into is plane orthogonal substantially.
4. device according to claim 1, wherein, described push rod comprises that further support is used for second spring clip with first part bonding of described connecting plate thereon, wherein, after moved in the initial distally of described connecting plate, first parts of described connecting plate broke away from from described second spring clip.
5. device according to claim 1, further comprise the pushing plate that can be arranged in the described shaft assembly with moving back and forth, described pushing plate comprises at least one fin of the shoulder that is detachably connected to described push rod, wherein the distally of described push rod move move with nearside during, the shoulder of described push rod engages with at least one fin of described pushing plate, moves in moving with nearside one with the distally of realizing pushing plate.
6. device according to claim 5, further comprise being supported on slidably and be used for the clip follower that distal direction promotes described a plurality of operation clips in the described shaft assembly, described clip follower comprises from outstanding first projection of its first surface and from the second outstanding projection of its second surface, wherein, along with described pushing plate is distad mobile, first projection of described clip follower engages with described pushing plate, thereby make described clip follower distad mobile to advance described a plurality of operation clip, and wherein, along with described pushing plate proximad moves, second projection and the part bonding of described clip follower, thus make described clip follower keep fixing.
7. device according to claim 6, further comprise the clip carrier that is arranged in the described shaft assembly, wherein, described clip carrier is configured to keep described a plurality of operation clip and described clip follower, wherein, second of the described clip follower projection and the part bonding that is formed in the described clip carrier.
8. device according to claim 6 wherein, progressively advances described clip follower by described shaft assembly.
9. device according to claim 6, wherein, described clip follower comprises the window catch that extends from its surface, wherein, after last operation clip was launched, described window catch engaged and prevents that with described push rod described push rod proximal direction from moving.
10. device according to claim 9 further comprises the ratchet assembly that is arranged in the described Handleset, wherein, when described push rod does not turn back to proximal position, prevents that described ratchet assembly from resetting.
11. device according to claim 1 further comprises the enumerator that is supported in the housing unit, wherein after the operation clip had been launched, described enumerator provided indication.
12. device according to claim 1, further comprise the indicator that is supported in the housing unit, wherein, when at least one operation clip was loaded in the described jaw, the operation clip is launched and described device is reset, described indicator provided at least one in audible indication and the sense of touch indication.
13. device according to claim 4 further comprises the clapboard that can be arranged in the described shaft assembly with moving back and forth, described clapboard is not mobile between the position in described jaw at position and its far-end that its far-end is disposed in the jaw.
14. device according to claim 13, wherein, described clapboard comprises that further support is thereon for the 3rd spring clip on second parts that are detachably connected to described connecting plate, wherein, after moved in the initial distally of described connecting plate, second parts of described connecting plate broke away from from described the 3rd spring clip.
15. device according to claim 1 further comprises drive rod, described drive rod is activated and is connected on the described connecting plate to realize the movement of described connecting plate by described Handleset.
16. device according to claim 15, further comprise the driving passage that can be arranged in the described shaft assembly with moving back and forth, wherein, described drive rod and described driving channel engagement are to realize the translation of described driving passage, wherein, when described driving passage distad advanced, the surface engagement of its far-end and jaw was to realize approaching of jaw.
17. device according to claim 16, wherein, lock makes the far-end of clapboard return from jaw so that the clapboard proximad moves thereby described driving passage activates clapboard when it distad advances, and allows to drive passage near jaw.
18. device according to claim 1, wherein, described shaft assembly rotates around the longitudinal axis with respect to described Handleset.
19. device according to claim 14, wherein, described shaft assembly comprises support protector within it, and wherein said protector prevents that when described the 3rd spring clip translation strides across described protector described the 3rd spring clip from outwards opening.
20. device according to claim 13, wherein, described clapboard is biased to proximal position.
21. device according to claim 16, wherein, described driving passage is biased to proximal position.
22. the clip that is used for performing the operation is applied to the device in the soma, described device comprises:
Handleset, it comprises trigger and drive rod, described drive rod passes through the reciprocal translation of trigger when trigger-acted;
Shaft assembly, it distad extends from described Handleset, and defines the longitudinal axis, and described shaft assembly comprises:
Housing;
Be arranged in a plurality of operation clips in the described housing;
Jaw, distal portion of its contiguous described housing is installed, and described jaw is mobile between the open mode that separates and approaching closure state;
Push rod, it can be arranged in the described housing with moving back and forth, and the described push rod clip that is configured to when described jaw is in open mode farthest side performed the operation is packed in the described jaw, and keeps in touch with the operation clip that is loaded into during the approaching of described jaw;
Pushing plate, its contiguous described push rod can be arranged in the described housing with moving back and forth, described pushing plate comprises at least one fin that engages with the shoulder of described push rod, wherein, the distally of described push rod move move with nearside during, the shoulder of described push rod engages with at least one fin of described pushing plate, moves in moving with nearside one with the distally of realizing described pushing plate;
The clip carrier, its contiguous described pushing plate is arranged in the described housing, and wherein, described clip carrier is configured to keep described a plurality of operation clip;
The clip follower, it is supported on the proximal position place that is positioned at described a plurality of operation clips in the described clip carrier slidably, described clip follower is configured to distal direction and promotes described a plurality of operation clip, described clip follower comprises from outstanding first projection of its first surface and from the second outstanding projection of its second surface, wherein, along with described pushing plate is distad mobile, first projection of described clip follower engages with described pushing plate, thereby make described clip follower distad mobile to advance described a plurality of operation clip, and wherein, along with described pushing plate proximad moves, second projection of described clip follower engages with the clip follower, thereby makes described clip follower keep fixing;
Drive passage, its contiguous described clip carrier can be arranged in the described housing with moving back and forth, wherein, engage to realize to described drive rod and described driving channel selecting the translation of described driving passage, wherein when described driving passage distad advanced, the surface engagement of its far-end and described jaw was to realize approaching of described jaw; And
Clapboard, its contiguous described driving passage can be arranged in the described housing with moving back and forth, and described clapboard is not mobile between the position in described jaw at position and its far-end that its far-end is arranged in the jaw.
23. device according to claim 22, wherein, described push rod comprises the pusher that is formed on its far-end, and wherein said pusher has the operation stitching nail of narrow profile to be loaded in the contact of single position.
24. device according to claim 23, wherein, described pusher defines the plane cardinal principle plane orthogonal with the operation stitching nail that is loaded into.
25. device according to claim 22, wherein, described push rod comprises support first spring clip thereon, first spring clip is used for being detachably connected to the fixed part of the housing of described shaft assembly when described push rod is in the propelling position, described push rod is remained on described propelling position.
26. device according to claim 25, further comprise the connecting plate in the housing that can be arranged in described shaft assembly with moving back and forth, and wherein, described push rod comprises that further support is used for removably engaging second spring clip of first parts of described connecting plate thereon, wherein, after moved in the initial distally of described connecting plate, first parts of described connecting plate broke away from from described second spring clip.
27. device according to claim 22 wherein, progressively advances described clip follower by described shaft assembly.
28. device according to claim 22, wherein, described clip follower comprises the window catch that extends from its surface, and wherein, after launching last operation clip, described window catch engages and prevent that with described push rod described push rod proximal direction from moving.
29. device according to claim 22, wherein, described Handleset further comprises the ratchet assembly that is arranged in it, wherein, when described push rod does not turn back to proximal position, prevents that described ratchet assembly from resetting.
30. device according to claim 22, wherein, described Handleset further comprises the enumerator that is supported in the described housing unit, and wherein, after the operation clip had been launched, described enumerator provided indication.
31. device according to claim 22, wherein, described Handleset further comprises support indicator within it, wherein, when at least one operation clip was loaded in the described jaw, the operation clip is launched and described device is reset, described indicator provided at least one in audible indication and the sense of touch indication.
32. device according to claim 26, wherein, described clapboard comprises that further support is used for the 3rd spring clip of second parts of the described connecting plate of joint thereon, wherein, after moved in the initial distally of described connecting plate, second parts of described connecting plate broke away from from described the 3rd spring clip.
33. device according to claim 22, wherein, described shaft assembly comprises the clapboard lock, wherein, this clapboard proximad moves the far-end that makes described clapboard thereby described driving passage activates described clapboard lock when it distad advances returns from described jaw, and allows described driving passage near described jaw.
34. device according to claim 22, wherein, described shaft assembly rotates around the longitudinal axis with respect to described Handleset.
35. device according to claim 32; wherein; described shaft assembly comprises the protector that is supported in the described housing, and wherein, described protector prevents that when described the 3rd spring clip translation strides across described protector described the 3rd spring clip from outwards opening.
36. device according to claim 22, wherein, described clapboard is biased to proximal position.
37. device according to claim 22, wherein, described driving passage is biased to proximal position.
Applications Claiming Priority (6)
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US9278608P | 2008-08-29 | 2008-08-29 | |
US9279008P | 2008-08-29 | 2008-08-29 | |
US61/092,786 | 2008-08-29 | ||
US12/539,121 US8409223B2 (en) | 2008-08-29 | 2009-08-11 | Endoscopic surgical clip applier with clip retention |
US12/539,671 US8894665B2 (en) | 2008-08-29 | 2009-08-12 | Endoscopic surgical clip applier |
US12/539,671 | 2009-08-12 |
Publications (2)
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CN101756741A CN101756741A (en) | 2010-06-30 |
CN101756741B true CN101756741B (en) | 2013-08-28 |
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Application Number | Title | Priority Date | Filing Date |
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CN201310049880.7A Active CN103190939B (en) | 2008-08-29 | 2009-08-31 | There is the endoscope operation applicator of clip retention |
CN2009101716126A Active CN101664330B (en) | 2008-08-29 | 2009-08-31 | Endoscopic surgical clip applier with clip retention |
CN2009101716145A Active CN101756741B (en) | 2008-08-29 | 2009-08-31 | Endoscopic surgical clip applier |
CN200910171615XA Active CN101744648B (en) | 2008-08-29 | 2009-08-31 | Endoscopic surgical clip applier with connector plate |
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CN201310049880.7A Active CN103190939B (en) | 2008-08-29 | 2009-08-31 | There is the endoscope operation applicator of clip retention |
CN2009101716126A Active CN101664330B (en) | 2008-08-29 | 2009-08-31 | Endoscopic surgical clip applier with clip retention |
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CN200910171615XA Active CN101744648B (en) | 2008-08-29 | 2009-08-31 | Endoscopic surgical clip applier with connector plate |
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EP (9) | EP2995265A1 (en) |
JP (3) | JP5345910B2 (en) |
CN (4) | CN103190939B (en) |
AT (1) | ATE543445T1 (en) |
AU (3) | AU2009210421B2 (en) |
CA (3) | CA2675872A1 (en) |
ES (5) | ES2378022T3 (en) |
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